Healthcare Revenue Cycle Management Consulting

Practical operational guidance for physician practices, medical groups, healthcare organizations, and administrative teams seeking clearer workflows, stronger performance visibility, and fewer barriers to timely reimbursement.

Revenue Cycle Assessment

A structured review can examine the full administrative journey—from patient scheduling and registration through final payment and account resolution. The engagement may evaluate:

• Patient access, demographic capture, and insurance verification

• Authorization and referral workflows

• Charge capture and claim-submission processes

• Claim edits, rejections, and denial-management practices

• Payment posting and reconciliation

• Insurance follow-up and accounts receivable

• Patient statements, collections, and customer service

• Handoffs between clinical, front-office, billing, and finance teams

Performance Measurement

Relevant key performance indicators can be organized into a practical scorecard so leadership can identify trends and prioritize improvement opportunities. Measures may include days in accounts receivable, aging distribution, denial and rejection rates, clean-claim performance, collection trends, payment turnaround, productivity, and unresolved work queues.

Process Mapping and Improvement

Existing workflows are documented to show responsibilities, decision points, delays, rework, and gaps in communication. Recommendations may include redesigned workflows, clearer procedures, escalation paths, standardized work, accountability measures, and implementation priorities.

Patient Access and Financial Experience

Front-end processes have a major effect on both reimbursement and the patient experience. Consulting may address registration accuracy, eligibility checks, authorization tracking, estimates, patient communication, payment expectations, financial-assistance routing, and service-recovery practices.

Systems and Workflow Review

A review of electronic health record, practice-management, billing, clearinghouse, and reporting workflows can help determine whether system configuration and daily processes support operational goals. Assistance may include requirements gathering, workflow testing, issue tracking, vendor coordination, and implementation planning.

Staff Development and Leadership Support

Services may include role clarification, workflow training, procedure development, management coaching, team communication, performance expectations, and support during operational changes or periods of growth.

Project and Interim Support

Short-term project leadership may be available for workflow redesign, backlog reduction planning, new-location preparation, system transitions, administrative restructuring, or other defined revenue-cycle initiatives.

How an Engagement Works

1. Discovery consultation to understand current concerns and goals.

2. Review of available workflows, reports, policies, and responsibilities.

3. Identification of payment barriers, process gaps, and improvement opportunities.

4. Prioritized recommendations and an actionable roadmap.

5. Implementation support, staff communication, and progress monitoring when included in the agreed scope.

Important Information

Consulting recommendations are educational and operational. Results depend on payer rules, contracts, documentation, coding, staffing, technology, and implementation. No specific reimbursement, collection, compliance, or financial outcome is guaranteed. Legal, tax, clinical, coding, cybersecurity, and formal compliance-audit services require appropriately qualified professionals and are not included unless expressly stated in writing.

Call or text 323.313.6482 or email info@mendezatilano.com to schedule a consultation.